Brandon C. Payne D.d.s., M.d., P.c.
Oral and Maxillofacial Dental Clinic
4728 Eagleridge Cir Ste 110, Pueblo
Colorado, 81008-2196
719-542-4546 719-542-4548
Maps & DirectionsBrandon C. Payne D.d.s., M.d., P.c. is a Oral and Maxillofacial Dental Clinic in Pueblo, Colorado. It is located at 4728 Eagleridge Cir Ste 110, Pueblo, CO and its contact number is 719-542-4546. The authorized person for Brandon C. Payne D.d.s., M.d., P.c. is Brandon C Payne
who is President of the clinic and their contact number is 719-542-4546. The primary license number for Brandon C. Payne D.d.s., M.d., P.c. is 10136 (Oral and Maxillofacial Surgery) in Colorado.
Brandon C. Payne D.d.s., M.d., P.c. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Brandon C. Payne D.d.s., M.d., P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Brandon C. Payne D.d.s., M.d., P.c. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 4728 Eagleridge Cir Ste 110, Pueblo,
Colorado, 81008-2196 |
| Phone: | 719-542-4546 |
| Fax: | 719-542-4548 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Brandon C Payne |
| Position: | President |
| Contact Number: | 719-542-4546 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Brandon C. Payne D.d.s., M.d., P.c. clinic are as mentioned below.
| NPI Number: | 1790993376 |
| NPI Enumeration Date: | 18 May, 2007 |
| NPI Last Update On: | 10 Nov, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brandon C. Payne D.d.s., M.d., P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 10136 | Colorado | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 33987220 | Medicaid | Colorado | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Brandon C. Payne D.d.s., M.d., P.c.
4728 Eagleridge Cir Ste 110,
Pueblo, Colorado |
| Zip: | 81008-2196 |
| Phone Number: | 719-542-4546 |
| Fax Number: | 719-542-4548 |
Patients can reach Brandon C. Payne D.d.s., M.d., P.c. at
4728 Eagleridge Cir Ste 110, Pueblo, Colorado or can
call to book an appointment on 719-542-4546.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.